Individual provider Active NPI

Anneta N. Osuchukwu, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1124355854
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LL4411 Issued in NV
Practice address
8280 W Warm Springs Rd
Las Vegas, NV 89113-3612
Phone
(702) 492-8237
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL4411 NV Primary
General Practice Physician 208D00000X LL4411 NV

Addresses

Primary practice location

8280 W Warm Springs Rd
Las Vegas, NV 89113-3612

Mailing address

361 Roydale Ave
Las Vegas, NV 89183-3551
Phone (917) 627-8159

Other practice location 1

4310 W Cheyenne Ave
North Las Vegas, NV 89032-2484
Phone (702) 852-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605002574 NV Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6305356791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatry Inc Current Accepting new patients
Treasure Health System Current Accepting new patients
Treasure Health System Current Accepting new patients

Locations

4310 W Cheyenne Ave
North Las Vegas, NV 89032
Phone (702) 763-7811

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1124355854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 ROYDALE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833551",
            "telephone_number": "917-627-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 W WARM SPRINGS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133612",
            "telephone_number": "702-492-8237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4310 W Cheyenne Ave",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890322484",
            "country_code": "US",
            "telephone_number": "702-852-2062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSUCHUKWU",
        "first_name": "ANNETA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "LL4411",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "LL4411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.